DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

LITTLE SPROUT'S CLUBHOUSE LLC

002397642

(573) 455-2020

332 COUNTY ROAD 501
JEFFERSON CITY
MO  65101

LITTLE SPROUT'S CLUBHOUSE LLC



 

MASSMAN, JENNA

jenna.massman@gmail.com


LAUREN R RAYWARNKE

6 WEEKS - 12 YEARS

78

GROUP HOME AND CENTER

16 CHILDREN UNDER 12 MONTHS; 24 CHILDREN UNDER 24 MONTHS
 
Inspection Information

09/01/2021

11:15 AM

2:13 PM

UNANNOUNCED

COMPLIANCE MONITORING

2407479213


DocumentDocument-Date
SAMPLE WEEKLY MENU 05/07/2013
SAMPLE FORMS 07/29/2013
OWNER/PROVIDER REFERENCES 08/20/2013
LOCAL ZONING APPROVAL 09/05/2013
LOCAL BUILDING APPROVAL 09/05/2013
LLC OPERATING AGREEMENT 05/07/2013
LLC ARTICLES OF ORGANIZATION 05/07/2013
LINES OF ADMINISTRATIVE AUTHORITY 09/05/2013
JOB RESPONSIBILITIES 05/28/2013
DAILY SCHEDULE 05/07/2013
DIAGRAM/INDOOR 04/03/2013
DIAGRAM/OUTDOOR 09/05/2013
DIRECTOR'S QUALIFICATIONS 08/05/2013
POLICIES 05/09/2013
CHILD CARE PRACTICES 05/09/2013
DISCIPLINE POLICIES 05/09/2013
APPLICATION 05/13/2019
EQUIPMENT LIST 07/29/2021
STAFF SHEET 05/16/2019
SANITATION INSPECTION 05/19/2021
FIRE/SAFETY INSPECTION 06/14/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 07/07/2021
ANNUAL DECLARATION 07/07/2021

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:40PM   4:55PM   7/6/2015
  6:45AM   7:30AM   7/6/2015



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 6
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 9
Total Children 38
StaffChildClass AgeNote
2 7 INFANTS AND TODDLERS Ashlee Gibson and Mallory Adams with 7 children, two children 3 months old, one child 7 months old, two children 9 months old, one child 10 months old and one child 11 months old.
2 8 INFANTS AND TODDLERS Jadyn Anderson and Linda Pfahl with 8 children, five children age 1 and three children age 2.
2 8 INFANTS AND TODDLERS Jenna Massman and Melanie Morfeld with 8 children, one child 11 months and seven children age 1.
1 0 NO CHILDREN IN ATTENDANCE Michelle Fischer in the kitchen cooking and washing dishes with 0 children.
1 8 PRESCHOOL Tracie Harris with 8 children, three children age 3, four children age 4 and one child age 5.
1 7 TWO YEAR OLDS Baylee Oliver with 7 children age 2.

 
19 CSR 30-62.032 Organization and Administration
Compliance
19 CSR 30-62.042 Licensing Process
Compliance
19 CSR 30-62.052 Annual Requirements
Compliance
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
The facility's outdoor space was not safe for children's activities as evidenced by a blue cracked shovel with broken pieces of plastic was found on the ground of the preschool playground.
Licensing Rule Reference
19 CSR 30-62.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.

Correction Verification
Corrected on Site

Compliance Date
9/1/2021
19 CSR 30-62.087 Fire Safety
Compliance
19 CSR 30-62.090 Disaster and Emergency Preparedness
Compliance
19 CSR 30-62.092 Furniture, Equipment and Materials
Violation
 Provider Comments
Violation
Outdoor equipment, Yellow and Blue Slide, in the preschool playground was not in good condition as evidenced by there is a hole located in the slide at the bottom of the slide.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date

Violation
Outdoor equipment, Blue Playhouse Window, in the preschool playground was not free of sharp parts as evidenced by the blue playhouse window was laying up against a fence. The bottom of the blue window is busted and cracked.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Corrected on Site

Compliance Date
9/1/2021
Violation
Outdoor equipment, Pink Tricycle, in the preschool playground was unsafe as evidenced by the tricycle is missing a wheel.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Corrected on Site

Compliance Date
9/1/2021
Violation
Outdoor equipment, White and Yellow Playschool Table, in the preschool playground was not free of sharp parts as evidenced by the two front corners of the table are cracked.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Corrected on Site

Compliance Date
9/1/2021
Violation
Outdoor equipment, Blue Scooter, in the preschool playground was not in good condition as evidenced by the handle of the scooter is broken.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Corrected on Site

Compliance Date
9/1/2021
Violation
Outdoor equipment, Yellow Slide, in the preschool playground was not free of sharp parts as evidenced by the provider has attempted to tape the center of the slide. The tape is not smooth. The tape is not secured. The yellow slide has a parallel slit down the center of the slide. Children could possibly injure their legs or receive cuts from the plastic pieces of the slide that are not covered.
Licensing Rule Reference
19 CSR 30-62.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.102 Personnel
Violation
 Provider Comments
Violation
A facility orientation was not documented and available for review for all caregivers. The following staff need documentation of a facility orientation: Regina Stegeman.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The child care provider shall ensure that documentation verifying completion of the facility orientation is maintained and on file for review by the department for each caregiver. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days and documentation verifying completion is maintained and on file for review by the department for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

Violation
Safe sleep training was not completed within the past 3 years for the following staff Madison Conley.
Licensing Rule Reference
19 CSR 30-62.102 Personnel (4) . states: Safe Sleep Training. Every three (3) years the center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios in a group child care home or child care center licensed to provide care for infants less than one (1) year of age shall successfully complete department-approved training regarding the American Academy of Pediatrics (AAP) safe sleep recommendations contained in the American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. Technical report – SIDS and other sleep-related infant deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment, by Moon RY, which is incorporated by reference in this rule as published in PEDIATRICS Volume 138, No. 5, November 1, 2016 and available at http://pediatrics.aappublications.org/content/pediatrics/early/2016/10/20/peds.2016-2938.full.pdf. This rule does not incorporate any subsequent amendments or additions.
Correction Required
The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department approved safe sleep training as required.

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.112 Staff/Child Ratios
Compliance
19 CSR 30-62.122 Medical Examination Reports
Violation
 Provider Comments
Violation
Medical examination report(s) was/were not on file for Mallory Adams as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (A) states: All persons working in a day care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.

Correction Verification
Submit Documentation

Compliance Date

Violation
A medical examination report did not include a completed Risk Assessment for Tuberculosis form for Mallory Adams and Maria Verslues.
Licensing Rule Reference
19 CSR 30-62.122 Medical Examination Reports (1) (B) . states: Medical examination reports shall include a “Risk Assessment for Tuberculosis” form, included herein, completed and signed by a health care professional, as provided by the Missouri Department of Health and Senior Services (MDHSS). If the person has signs or symptoms of tuberculosis, or risk factors for tuberculosis, then testing for tuberculosis shall occur.
Correction Required
TB reports shall be on file as required

Correction Verification
Submit Documentation

Compliance Date

19 CSR 30-62.132 Admission Policies and Procedures
Compliance
19 CSR 30-62.142 Nighttime Care
Compliance
19 CSR 30-62.152 Hourly Care Facilities
Compliance
19 CSR 30-62.162 Overlap Care of Children
Compliance
19 CSR 30-62.172 Emergency School Closings
Compliance
19 CSR 30-62.182 Child Care Program
Compliance
19 CSR 30-62.192 Health Care
Compliance
19 CSR 30-62.202 Nutrition and Food Service
Compliance
19 CSR 30-62.212 Transportation and Field Trips
Compliance
19 CSR 30-62.222 Records and Reports
Compliance
19 CSR 30-63.020 General Requirements
Compliance
19 CSR 30-63.040 Background Screening Findings
Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance